Bankruptcy

	Stop Bill Collectors
	Stop Lawsuits
	Stop Repossession
	Stop Foreclosures
	Stop Tax Garnishment
	Stop Bad Credit
	Help with Judgments
	Help with Past Due Taxes

Bankruptcy Questionnaire

This submission will be kept strictly confidential. For your FREE CONSULTATION, please complete the form below or call me at 401-467-6800.

During your consultation I will listen to your story, analyze lawsuit or foreclosure documents, and lay out all your options, both in and out of the bankruptcy system. You will not get a sales pitch, but honest, straightforward advice, even if bankruptcy is not the right choice for you. After the consultation, you will have received the advice you need to move forward confidently and resolve your debt problems.

Contact Information:
Full Name *
Where do you reside? *
Email *
Phone *
Debts:
How much do you owe on credit cards and store cards?
$
Do you owe any personal loans? If so, please estimate the total.
$
Do you owe any taxes? If so, please estimate how much.
$
Do you owe any back medical bills? If so, please estimate the total.
$
Do you owe any student loans? If so, please estimate the total.
$
Do you owe any other debts (besides current car loans)? If so, please describe and estimate the total.
$
Have you ever been sued for a debt?
Yes No
Are you being harassed by creditors or collection agencies?
Yes No
Property: (Note: If properly represented by an attorney, most people keep all their property in a bankruptcy.)
Do you own a house or condo?	Yes No
Do you own a car or other motor vehicle?	Yes No
Are you behind on any house, car, or other secured debt payments?	Yes No
Your Income and Family:
What is your annual income?	$
Are you married?	Yes No
If you have children, how many are under 18?
Options:
Do you know what type of bankruptcy you would prefer to file?
Chapter 7 Chapter 13 I don't know

I'm sure you have many questions. For a FREE DEBT CONSULTATION, please call me at 401-467-6800 and I will be more than glad to offer you my advice.

I know you have many questions. That is why I'm offering a FREE DEBT CONSULTATION. Please call me at 401-467-6800 or complete the form on left and I'll be more than glad to offer you my advice.

Evening & Weekend Debt Consultation Appointments Available

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Active Member Of

	National Association of Consumer Bankruptcy Attorneys
	Rhode Island Bar Association
	Massachusetts Bar Association
	Bankruptcy Law Network